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Utah rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.17 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.01 / $988.17 / $2,205.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.00 / $1,022.75 / $1,440.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $558.71 / $737.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.68 / $1,228.35 / $1,543.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.40 / $856.00 / $1,477.09